Provider Demographics
NPI:1053496778
Name:PARKEY, JAMEN MARGARET (PA-C, MPH)
Entity Type:Individual
Prefix:
First Name:JAMEN
Middle Name:MARGARET
Last Name:PARKEY
Suffix:
Gender:F
Credentials:PA-C, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-3724
Mailing Address - Country:US
Mailing Address - Phone:612-871-4354
Mailing Address - Fax:612-872-4343
Practice Address - Street 1:1925 1ST AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-3724
Practice Address - Country:US
Practice Address - Phone:612-871-4354
Practice Address - Fax:612-872-4343
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9251363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1778774OtherARAZ
MN916428600Medicaid
MNHP32504OtherHEALTH PARTNERS
MN1778774OtherARAZ
MNHP32504OtherHEALTH PARTNERS
MN970003848Medicare PIN